Differential Diagnosis Of Radicular Pain
Radicular pain is a type of pain caused by an
irritated or compressed nerve root in the spine. It is described as a sharp,
stabbing pain that radiates from the lower back into the buttocks, legs, or
feet. Radicular pain is often confused with other types of pain, such as
sciatica, which is caused by a pinched or compressed sciatic nerve. To make an
accurate diagnosis of radicular pain, a healthcare provider must take a
detailed medical history, perform a physical examination, and order imaging
studies.
Medical History
When diagnosing radicular pain, a healthcare
provider will take a detailed medical history. This includes questions about
the patient’s symptoms, such as when the pain started, where it is located,
what makes it worse or better, and if there are any associated symptoms like
numbness, tingling, or weakness. The healthcare provider will also inquire
about the patient’s medical history, including any previous back injuries or
surgeries. You can find an experienced physio for plantar
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Physical Examination
A physical examination is an essential part of
diagnosing radicular pain. During the test, the healthcare provider will check
the spine for areas of tenderness, muscle spasms, and limited range of motion.
They may also perform a straight leg raise test to determine if a pinched nerve
in the spine causes the pain. In addition, they may check the reflexes and
sensations in the legs and feet.
Imaging Studies
Imaging studies are used to confirm the diagnosis and to rule out other conditions. Common imaging studies include X-rays, CT scans, and MRIs. X-rays can be used to detect bone spurs, fractures, or other abnormalities in the spine. CT scans provide detailed spine images and can detect disc herniation, which can cause radicular pain. MRIs can also be used to detect disc herniation and other abnormalities, as well as to detect nerve damage.
Treatment
Once the diagnosis of radicular pain has been confirmed, treatment can begin. Treatment usually includes pain medications, physical therapy, and surgery. Pain medications can help to relieve the pain and reduce inflammation. Physical therapy can strengthen the muscles that support the spine and help to increase flexibility. If the pain persists despite these treatments, surgery may be recommended to remove pressure from the nerve root.
Radicular pain can be a debilitating condition, but with an accurate diagnosis and proper treatment, most people can find relief. If you have persistent pain that radiates from the lower back into the buttocks, legs, or feet, you must consult a healthcare provider to determine the cause and begin treatment.
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